| NPI | 1023500535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DACELIN ST MARTIN Medical Director / Owner 352-527-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-07-21 |